Male Death Registration: Year: 1971 number: 6209
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006209
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Bereta, Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Poland
9. DATE OF BIRTH 2 15, 1893
10. AGE in Years78 Months7 Days20 | hrs or mins
11. Trade or profession Steelworker
12. Kind of industry
13. Date last worked August 1957 14. Total years 49
15. If married name of spouse Stella
16. NAME of Father
17. BIRTHPLACE Poland
18. NAME of Mother
19. BIRTHPLACE Poland
20. Signature of Informant Edward Bereta
address Sydney
Relationship to deceased Son
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial 8 October 1971
22. Undertaker T.W. Curry's Funeral Home, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 5, 1971
CAUSE OF DEATH
(a) Pulmonary Failure
(b) Carcinoma of Lung
(c) Emphysema
other Arteriosclerotic Heart Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498282
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